Skip to content
The Policy VaultThe Policy Vault

KevzaraCigna

Juvenile Idiopathic Arthritis/Juvenile Rheumatoid Arthritis – Initial Therapy

Preferred products

  • Actemra subcutaneous
  • Tyenne subcutaneous
  • Enbrel
  • adalimumab-adbm
  • Cyltezo
  • adalimumab-adaz
  • adalimumab-ryvk
  • Simlandi
  • Rinvoq
  • Rinvoq LQ
  • Xeljanz tablets

Initial criteria

  • Patient meets the standard Inflammatory Conditions – Kevzara Prior Authorization Policy criteria; AND
  • Patient meets ONE of the following (a or b):
  • a) Patient has tried TWO of a tocilizumab subcutaneous product, Enbrel, an adalimumab product, Rinvoq/Rinvoq LQ, or Xeljanz [documentation required]; OR
  • b) According to the prescriber, the patient has heart failure, a previously treated lymphoproliferative disorder, a previous serious infection, OR a demyelinating disorder.

Approval duration

6 months